Doctor Name: | MS. BONITA SUE MORISETTE |
NPI Number: | 1053506022 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 462 |
Business Practice Address: | 201w Lakeway Rd 1004 Gillette, WY - 827186349 |
Business Phone Number: | 3076823747 |
Business Fax Number: | |
Mailing Address: | 201 W Lakeway Rd Ste 1004, GILLETTE |
State: | WY |
Postal Code: | 827186349 |
Phone Number: | 3076823747 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2007 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |